PREPAID MEDICARE SERVICES HEALTH PLANS

COVERED SERVICES

ALPHA

OMEGA

OMEGA +

EMERGENCY SERVICES

Local evacuation to hospital 

24 HOURS

48 HOURS

72 HOURS

Stabilization

24 HOURS

48 HOURS

72 HOURS

Emergency drug and investigations

24 HOURS

48 HOURS

72 HOURS

OUTPATIENT SERVICES

General Consultation

YES

YES

YES

Specialist Consultation

NO

YES

YES

Routine Laboratory tests

YES

YES

YES

Drugs

YES

YES

YES

Physiotherapy

NO

6 SESSIONS

12 SESSIONS

INPATIENT SERVICES

General ward

YES

YES

YES

Semi private ward

NO

YES

YES

Private ward

NO

NO

YES

General/Specialist doctor review

YES

YES

YES

Nursing care

YES

YES

YES

Drugs and infusions

YES

YES

YES

Routine Laboratory investigations

YES

YES

YES

CT/MRI Scan

NO

NO

2 MAX

MATERNITY SERVICES (FAMILY PLAN ONLY)

Antenatal care

YES

YES

YES

Normal delivery

YES

YES

YES

Induction of labour and assisted delivery

NO

YES

YES

C/S (emergency & medically indicated electives)

NO

YES

YES

Family Planning Services (OCPs & IUCD)

YES

YES

YES

MEDICAL LIMIT FOR DELIVERY SERVICES

50,000

150,000

250,000

CHILD HEALTH SERVICES

Care for unregistered new born

YES

YES

YES

Routine Immunization

YES

YES

YES

Additional Childhood Immunization – under 5 years (HiB& Rotavirus, pneumovax, typherix)

NO

YES

YES

Well Baby Clinic

NO

YES

YES

Nutritional Scheme

YES

YES

YES

Circumcision

YES

YES

YES

SURGICAL SERVICES

Minor procedures (Lacerations, Sutures e.t.c)

YES

YES

YES

Intermediate (Appendectomy, Removal of Lumps, Hernioraphy)

NO

YES

YES

Major procedures (Endocrine, Thoracic)

NO

NO

YES

MEDICAL LIMIT FOR SURGICAL SERVICES

50,000

150,000

250,000

RADIOLOGICAL SERVICES

Plain X-Rays & Ultrasound Scans 

YES

YES

YES

EYE CARE

Routine examination

YES

YES

YES

Treatment of infection

YES

YES

YES

Annual Optical Lens limit

NO

8,000

18,000

Simple Eye surgeries e.g. Pterygium, Stye, Chalazion

NO

YES

YES

DENTAL CARE

Routine examination

YES

YES

YES

Treatment of infection

YES

YES

YES

Simple extraction

1 PER YEAR

2 PER YEAR

2 PER YEAR

Composite/Dental Fillings

NO

3/YEAR

4/YEAR

Amalgam

NO

2/YEAR

3/YEAR

Scaling & polishing

NO

2/YEAR

2/YEAR

Surgical extraction

NO

1/YEAR

2/YEAR

Root Canal Treatment

NO

NO

1/YEAR

MENTAL HEALTH SERVICES

Counseling

YES

YES

YES

Outpatient consultation & Treatment

NO

NO

8 WEEKS

FERTILITY SERVICES

Basic investigations

NO

YES

YES

Non-hormonal drug treatment

NO

NO

YES

MEDICAL LIMIT FOR FERTILITY SERVICES

NO

50,000

100,000

CANCER CARE

Cancer screening

COUNSELLING ONLY

COUNSELLING ONLY

ONCOLOGIST CONSULTATION

Mammogram

NO

NO

YES

PSA test

NO

NO

YES, IF NECESSARY

HIV/AIDS MANAGEMENT

Voluntary Conselling & Testing

YES

YES

YES

Treatment of Opportunistic Infections

NO

NO

YES

Anti-Retroviral Treatment Facilitation at Designated Centres in Nigeria

YES

YES

YES

HEALTH AND WELLNESS SERVICES

Health Information Talks

YES

YES

YES

TELEMEDICINE

NO

YES

YES

ONLINE FITNESS

NO

NO

YES